CMS Price Transparency Data

Diagnostic procedure preparation

Facility: Lincolnhealth

Billing Code: G0279 (HCPCS)

The BaseRate · fair price medium confidence
A fair price for this
$47
about 1.2× the $40 Medicare rate · typically $16–$85
modeled estimate · not a bill or quote
What this hospital charges insurers
$46
About the fair price
about $1 under the fair price · 1.1× Medicare
Medicare pays $40 Fair price $47 This hospital $46 Cash price $113 Hospital's list price $113

How we calculate the fair BaseRate →

How this hospital compares to other ME hospitals

On the higher side — 7 of 8 other ME hospitals charge less.

Cheapest $12 Priciest $49

Black dot = this hospital, among the 9 ME hospitals with a price for this procedure. Full list below.

A fair price for a Diagnostic procedure preparation is about $47 (about 1.2× the $40 Medicare rate). Lincolnhealth charges insurers about $46, or about $113 in cash — about the fair price. Located in Damariscotta, ME.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $31 - $107 77%
Blue Cross Blue Shieldmajor $31 - $123 77%
Aetnamajor $29 - $103 72%
Cignamajor $103 255%
Humanamajor $33 - $59 82%
Harvard Pilgrim $28 - $107 69%
WellCare $32 - $48 79%
+ 1 smaller / regional plan $32 - $104
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 35 Miles Street, Damariscotta, ME 04543
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals